De Quervain syndrome involves the inflammation of the common tendon sheath of the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB) in the region of the radial styloid process. This condition can be caused by microtraumas that occur in the course of repetitive mechanical activities and systemic diseases of the connective tissue, such as rheumatoid arthritis. The symptom of de Quervain syndrome is pain in the forearm at the height of the radial styloid process. The pain intensifies during the extension of the thumb. Other symptoms include redness and swelling in the region. The physical examination most often involves two tests: Finkelstein's test and Eichhoff's test. Physiotherapeutic treatment is an important element of conservative treatment of de Quervain syndrome. The article aims to present functional diagnostics and physiotherapeutic methods that are used in the treatment of de Quervain syndrome based on the available literature. The review used the division of therapeutic methods into three basic sections: kinesitherapy, physical therapy and therapeutic massage, and was expanded to include physioprophylaxis and education, kinesiotaping and acupuncture. The discussed publications noted a significant improvement in terms of reducing pain and functionality in patients with de Quervain syndrome using various physiotherapeutic methods and their combinations. Unfortunately, there is a small number of randomized clinical trials. Hence, it is difficult to draw clear conclusions about the most effective forms of treatment. Further research is required in order to achieve the integration of the most effective physiotherapeutic methods in the treatment of de Quervain syndrome and the assessment of its short and long-term effects.
REFERENCES(53)
1.
Jeka S, Dura M, Waszczak-Jeka M. Ultrasonography for the most common pain syndromes of the upper extremity in the outpatients clinical practice. Forum Reumatol. 2016; 2(3): 111-117.
Borg-Stein J, Dugan SA. Musculoskeletal disorders of pregnancy, delivery and postpartum. Phys Med Rehabil Clin N Am. 2007; 18: 459-476. https://doi.org/10.1016/j.pmr.....
Ali M, Asim M, Danish SH, Ahmad F, Iqbal A, Hasan SD. Frequency of de Quervain’s tenosynovitis and its association with SMS texting. Muscles, Ligaments and Tendons Journal. 2014; 4(1): 74-77.
Ashurst JV, Turco DA, Lieb BE. Tenosynovitis caused by texting: an emerging disease. JAOA: Journal of the American Osteopathic Association. 2010; 110(5): 294-296.
Wu F, Rajpura A, Sandher D. Finkelstein’s test is superior to Eichhoff’s test in the investigation of de Quervain’s disease. J Hand Microsurg. 2018; 10: 116-118. https://doi.org/10.1055/s-0038....
Elliott BG. Finkelstein’s test: a descriptive error that can produce a false positive. J Hand Surg [Br]. 1992; 17(4): 481-482. https://doi.org/10.1016/S0266-....
Howell ER. Conservative care of de Quervain’s tenosynovitis/tendinopathy in a warehouse worker and recreational cyclist: a case report. J Can Chiropr Assoc. 2012; 56(2): 121-127.
Katana B, Jaganjac A, Bojičić S, Hadžiomerović AM, Pecar M, Kaljić E, et al. Effectiveness of physical treatment at de Quervain᾽s disease. Journal of Health Sciences. 2012; 2(1): 80-84. https://doi.org/10.17532/jhsci....
Rabin A, Israeli T, Kozol Z. Physiotherapy management of people diagnosed with de Quervain’s disease: a case series. Physiotherapy Canada. 2015; 67(3): 263-267. https://doi.org/10.3138/ptc.20....
Kaneko S, Takasaki H, May S. Application of mechanical diagnosis and therapy to a patient diagnosed with de Quervain’s disease: a case study. Journal of Hand Therapy. 2009; 22(3): 278-283.
Babaji GA, Shinde SB. Effect of the Mckenzie’s method of mechanical diagnosis and therapy and pain releasing phenomenon in subjects with de Quervain’s tenosynovitis. Indian Journal of Physiotherapy and Occupational Therapy. 2017; 11(3): 162-168. https://doi.org/10.5958/0973-5....
Szczechowicz J, Pieniążek M. Rehabilitation of patients after traumatic injuries to the hand and during the course of upper limb enthesopathic syndromes using personal electronic devices – a preliminary report. Med. Rehabil. 2018; 22(1): 49-53. https://doi.org/10.5604/01.300....
Backstrom KM. Mobilization with movement as an adjunct intervention in a patient with complicated de Quervain’s tenosynovitis: a case report. J Orthop Sports Phys Ther. 2002; 32(3): 86-94.
Sharma R, Thukral A, Kumar S, Bhargava SK. Effect of low level lasers in de Quervain’s tenosynovitis: prospective study with ultrasonographic assessment. Physiotherapy. 2002; 88(12): 730-734.
Hartzell TL, Rubenstein R, Herman M. Therapeutic modalities – an updated review for the hand surgeon. J Hand Surg. 2013; 37A: 597-621. https://doi.org/10.1016/j.jhsa....
Hasan T, Fauzi M. De Quervain’s tenosynovitis and phonophoresis: a randomised controlled trial in pregnant females. Journal of Orthopaedics, Trauma and Rehabilitation. 2015; 19(1): 2-6.
Homayouni K, Zeynali L, Mianehsaz E. Comparison between kinesiotaping and physiotherapy in the treatment of de Quervain’s disease. Journal of Musculoskeletal Research. 2013; 16(4): 1350019.
Machnia M, Cichoń N, Miller E. Individualised low frequency magnetic field therapy, using the example of the de Quervain syndrome. Fizjoterapia Polska. 2015; 4(15): 116-122.
Huisstede BMA, Coert JH, Friden J, Hoogvliet P. Consensus on a multidisciplinary treatment guideline for de Quervain disease: results from the European HANDGUIDE study. Phys Ther. 2014; 94: 1095-1110.
Homayouni K, Foruzi S, Kalhori F. Effects of kinesiotaping versus non-steroidal anti-inflammatory drugs and physical therapy for treatment of pes anserinus tendino-bursitis: a randomized comparative clinical trial. Phys Sportsmed. 2016; 44(3): 252-256. https://doi.org/10.1080/009138....
Williams S, Whatman C, Hume PA, Sheerin K. Kinesiotaping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med. 2012; 42: 153-164.
Kaçmaz IE, Koca A, Basa CD, Zhamilov V, Reisoğlu A. Efficacy of kinesiologic taping in de Quervain’s tenosynovitis: case series and review of literature. Bakırköy Tıp Dergisi. 2019; 15: 227-231.
Jongprasitkul H, Suputtitada A, Kitisomprayoonkul W, Pintawiruj K. Elastic bandage vs. neoprene thumb stabilizer splint in acute De Quervain’s tenosynovitis. Asian Biomedicine. 2011; 5(2): 263-267.
Hadianfard M, Ashraf A, Fakheri M, Nasiri A. Efficacy of acupuncture versus local methylprednisolone acetate injection in De Quervain’s tenosynovitis: a randomized controlled trial. JAMS journal of acupuncture and meridian studies. 2014; 7(3): 115‐121. https://doi.org/10.1016/j.jams....
Ponikowska I, Kochański JW. [The great book of balneology, physical and spa medicine. Volume 2, Clinical part]. Konstancin-Jeziorna: Alun; 2018 (in Polish).
Cavaleri R, Schabrun SM, Te M, Chipchase LS. Hand therapy versus corticosteroid injections in the treatment of de Quervain’s disease: a systematic review and meta-analysis. Journal of Hand Therapy. 2016; 29: 3-11.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.